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CITY OF ORON"�"- BUILDING PERMIT APPLICATION <br /> Total Fee: $ y� � ` � Date Received: <br /> Date Approved: <br /> Entered By: � '�' <br /> Permittt: i/ <br /> AT.T• INgpRMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WII,L B$ STARTED <br /> (See Check-off List Enclosed) <br /> --------------------------- -,. <br /> TgE APPLICANT IS: (circle one) �'0�+7NER;or CONTRACTOR <br /> ___ ,; <br /> ' � ZIP: � J � %/ <br /> J�B SITE ADDRSSS: � �-� � �• ��� �"�l - �^ �r� �r � <br /> (work) � 7� " i i %% <br /> N�ME OF OWNER: /� � � ��;u�'„i/!�; �y�i�' ��/+-� PHONE: (home) �1`�/ -�%�l `� <br /> �-r- <br /> MASLING ADDRESS: � G��' ��✓� � - _ ; �,'� � CITY: " ��<��� � ����'° ZIP: `� -'_ � <br /> � l -�,`;� ;� •,, . , . <br /> CONTRACTOR: �=�C�_ ; ' - ,-_. -; � , �, , � PHONE: " ✓ -' <br /> MAILING ADDRESS: � CITY: ZIP: <br /> S'.CATE LICENSE: # <br /> ARCHITECT/ENGINEER: PH��� <br /> MAILING ADDR.ESS: CITY: ZIP: <br /> N��_ REGISTRATION n <br /> TYPE OF WORR: New Addition Accessory Structure Mave <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> ' + _ �;"� <br /> PR.OPOSED WORR (describe in detail) : � c ;-' i � � \ �'`' � ✓"� ( �- , � '� �J <br /> ; <br /> S'rORIES: SQ. FEET OF EACH FLOOR: <br /> NIJ. OF BEDROOMS: GARAGE STAI.LS: ATT. DET. <br /> 1 �� � . � _� <br /> ESTIMATED CONSTRIICTION VALIIATION (egcluding Iand) : $ �` � " <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the work will be in conformance wi�ha�hl <br /> ordinances and codes of the City and with the State Building Code; <br /> understand this is not a permit and work is not to start without a permit; and <br /> that the work will be in accordance with the approved plan. � <br /> � ,:-� � G V �� 1`� i S <br /> APPLICANT'S SIGNATURE: G='�i !..! � � �''�'t-�^--�r � „�••.-- DATE: �� <br /> �: <br />